<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1">
<title>Lista Tabulati</title>
<style type="text/css">
	#fieldWrapper {width: 100%; height: 500px;}

	#fieldWrapper  #panel1 {margin-left: auto; margin-right: auto; width: 600px; height: 50px;}
	#fieldWrapper  #panel2 {margin-left: auto; margin-right: auto; width: 600px; height: 50px;}
	#fieldWrapper  #panel3 {margin-left: auto; margin-right: auto; width: 600px;height: 50px;}

	#fieldWrapper .field {overflow: auto; margin-bottom: 10px; width: 250px}
	#fieldWrapper .field label {float: left; width: 80px;}
	#fieldWrapper .field input {float: left; width: 80px; border:1px solid #B3B3B3;}
	#fieldWrapper .field  {float: left;}
	#fieldWrapper .field .field-subject {float: left; width: 90px;}


</style>
</head>
<body>
<form name="formListaTabulati" method="POST" action="/WEBDCROnLine/private/actionListaTabulati.do">
<div id="fieldWrapper">
<div id="panel1">
	<div class="field">
	    <label for="codeFarmacia">Farmacia</label>
	    <div class="field-subject"><input type="text" name="codeFarmacia" maxlength="5" value="" onkeyup="checkNumericField(this), modify()" id="codeFarmacia"></div>
	</div>
	    <div class="field">
		    <label for="codeAsl">Asl</label>
			<div class="field-subject">
				<select name="codeAsl" id="listaAsl"><option value="120112">FROSINONE</option>
<option value="120111">LATINA</option>
<option value="120110">RIETI</option>
<option value="120101">RM/A</option>
<option value="120102">RM/B</option>
<option value="120103">RM/C</option>
<option value="120104">RM/D</option>
<option value="120105">RM/E</option>
<option value="120106">RM/F</option>
<option value="120107">RM/G</option>
<option value="120108">RM/H</option>
<option value="120109">VITERBO</option></select>
		</div>
</div>


</div>
<div id="panel2">
	<div class="field">
		<label for="fromMonth">Mese da</label>
		<div class="field-subject">
			<select name="fromMonth" id="fromMonth"><option value="01">Gennaio</option>
				<option value="02">Febbraio</option>
				<option value="03">Marzo</option>
				<option value="04">Aprile</option>
				<option value="05">Maggio</option>
				<option value="06">Giugno</option>
				<option value="07">Luglio</option>
				<option value="08">Agosto</option>
				<option value="09">Settembre</option>
				<option value="10">Ottobre</option>
				<option value="11">Novembre</option>
				<option value="12">Dicembre</option>
			</select>
		</div>
	</div>


	<div class="field">
		<label for="fromYear">Anno da</label>
		<div class="field-subject">
			<select name="fromYear" id="fromYear"><option value="2013">2013</option></select>
		</div>
	</div>


</div>
<div id="panel3">
		<div class="field">
		<label for="toMonth">Mese a</label>
		<div class="field-subject">
			<select name="toMonth" id="toMonth"><option value="01">Gennaio</option>
			<option value="02">Febbraio</option>
			<option value="03">Marzo</option>
			<option value="04">Aprile</option>
			<option value="05">Maggio</option>
			<option value="06">Giugno</option>
			<option value="07">Luglio</option>
			<option value="08">Agosto</option>
			<option value="09">Settembre</option>
			<option value="10">Ottobre</option>
			<option value="11">Novembre</option>
			<option value="12">Dicembre</option></select>
		</div>
	</div>
	<div class="field">
		<label for="toYear">Anno a</label>
		<div class="field-subject">
			<select name="toYear" id="toYear"><option value="2014">2014</option>
			<option value="2015">2015</option>
			<option value="2016">2016</option>
			<option value="2017">2017</option>
			<option value="2018">2018</option></select>
		</div>
	</div>
</div>

</div>

<div style="clear: both" class="orange">Tabulati</div>


</form>


</body>
</html>